Stephnaie Johnson Nichols, PHARMD

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

12066 Issued in TN

Practice address

9031 Cross Park Dr
Knoxville, TN 37923-4602

Phone

(865) 545-4532

Fax

(865) 545-4488

NPI assigned

Jul 19, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Stephanie Lee Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437178100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 HIDDEN SPRINGS RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379149220",
            "telephone_number": "865-525-7893",
            "fax_number": "865-545-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9031 CROSS PARK DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234602",
            "telephone_number": "865-545-4532",
            "fax_number": "865-545-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "STEPHNAIE",
        "middle_name": "JOHNSON",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "TN",
            "license": "12066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "JOHNSON",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "PHARM D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Nichols
• Misty Renee Nichols, FNP-BC
• Nadine E. Nichols, OWNER,MANAGER
• Phillip Lynn Nichols II, MD
• Sharon Nichols, RN, IBCLC, RLC
• Andrew David Nicholson, MD
• Angelyn Nicholson, MSSW, LCSW
• Brenda Pittman Nicholson, MD
• Catherine Porter Nicholson, PNP
• Rebecca Goldston Nicholson, FNP-BC

• Pharmacotherapy Pharmacist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Pharmacotherapy Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.